Kidney transplants in humans have become the most
highly developed and successful of the transplant operations. The research that
preceded this dramatic achievement was pioneered by Dr. Joseph Murray, who
performed the first successful human kidney transplant in 1954, in which a
kidney was taken from one twin and given to another. Later, working with dogs,
Dr. Murray and colleagues showed that transplants were also possible in
unrelated people if drugs were taken to suppress the body's immune reaction to
the transplant. He also showed that kidneys from fresh cadavers could be
successfully transplanted into living patients.
The success of kidney transplantation was made
possible in part by the availability of hemodialysis machines, which make it
possible for patients with diseased kidneys to have their blood filtered and
cleansed. While prolonging the lives of thousands of people suffering from
kidney disease, this procedure is tedious, time-consuming and expensive.
A patient on dialysis requires more than 3 tons
of cleansing fluid, injections, clamps, tubes, water softeners and medications
each year! Each day, an average of 8 Canadians learn that their survival will
depend on dialysis. Close to 10,000 Canadians now depend on dialysis.
Kidney transplantation, therefore, has become one
of the most reliable and effective treatments for renal disease. More than 5,500
kidney transplants are performed in North America each year, and survival rates
for both matched and cadaver kidney transplants are 90 percent or better.
Worldwide, there have been over 400,000 successful kidney transplants performed.
But the demand for organs is not matched by the number of donations: there are
close to one thousand people in Ontario alone who are still waiting for a kidney
transplant.